Individual provider · Type 1 NPI
Derek Shane Marcum, DC
Chiropractor · Irving, TX
NPI number
1124175369
Active
Practice location
111 Airport Frwy #147
Irving, TX 75062
Fax (972) 247-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 7028 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1124175369
Derek Shane Marcum, DC's National Provider Identifier is 1124175369, issued on Jan 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Irving, TX. The record was last updated on Jul 8, 2007.